Schizophrenia Spectrum/Psychotic D/O DSM-5

Question 1

Delusion

Answer 1

fixed beliefs that are not amenable to change in light of conflicting evidence

Question 2

Persectutory delusions

Answer 2

belief that one is going to be harmed, harassed, and so forth by an individual, organization or other group

Question 3

Referential delusions

Answer 3

belief that certain gestures, comments, environmental cues, and so forth are directed at oneself

Question 4

Erotomanic delusions

Answer 4

individual believes falsely that another person is in love with him or her

Question 5

Criterion A for Schizophrenia

Answer 5

Two or more of the following, each present for a significant portion of time during a one month period (at least one must be delusions, hallucinations or disorganized speech)
1 - Delusions
2 - Hallucinations
3 - disorganized speech
4 - Grossly disorganized or catatonic behavior
5 - negative symptoms

Question 6

Two or more of the following, each present for a significant portion of time during a one month period (at least one must be delusions, hallucinations or disorganized speech)
1 - Delusions
2 - Hallucinations
3 - disorganized speech
4 - Grossly disorganized or catatonic behavior
5 - negative symptoms

Answer 6

Criterion A for schizophrenia

Question 7

Alogia

Answer 7

Diminished speech

Question 8

Avolition

Answer 8

inability to initiate in activities

Question 9

Delusional disorder

- required duration -

Answer 9

1 month or more

Question 10

Delusional disorder

- Symptoms -

Answer 10

Presence of 1 or more delusions
Criteria has not been met for Schizophrenia
psychosocial functioning is not markedly impaired Behavior is not odd

Question 11

Presence of 1 or more delusions
Criteria has not been met for Schizophrenia
psychosocial functioning is not markedly impaired Behavior is not odd

Answer 11

Delusional disorder

Question 12

Delusional Disorder

- specifiers -

Answer 12

erotomanic 
grandiose
jealous
persecutory 
somatic
mixed type 
unspecified type

Question 13

Delusional disorder

- differential dx -

Answer 13

OCD 
Delirium
depressive 
Bipolar 
Schizoaffective

Question 14

Delusional Disorder

- interventions -

Answer 14

Psychoeducation
Medication
Avoid confrontation/power struggle
social skills
CBT- Journaling
Medication Mgmt
empathy/encouragement (supportive psychotherapy)
Gradually and gently challenging beliefs
Relaxation Techniques
Stop & Monitor: establish cues to stop and be aware of thought processes through the day.

Question 15

Brief Psychotic Disorder

- duration -

Answer 15

at least 1 day but less than 1 month

Question 16

Brief Psychotic Disorder

- symptoms -

Answer 16

presence of delusions, hallucination or disorganized speech
eventual return to premorbid level of functioning
at least one day but less than one month

Question 17

presence of delusions, hallucination or disorganized speech
eventual return to premorbid level of functioning
at least one day but less than one month

Answer 17

Brief Psychotic Disorder

Question 18

Brief psychotic disorder

- specifiers -

Answer 18

with marked stressor: occur in response to a stressful event

Without marked stressor

with postpartum onset: during pregnancy or w/in 4 weeks
postpartum

Question 19

Brief psychotic disorder

- differential dx -

Answer 19

depressive
Bipolar
Schizophreniform
Delusional
other medical
substance-related
personality d/o
malingering/factitious

Question 20

Brief psychotic disorder

- interventions -

Answer 20

Medication
Supportive Psychotherapy 
Psychoeducation
CBT
Behavior therapy- coping skills, stress management
Family-focused therapy

Question 21

Schizophreniform

- duration

Answer 21

1 to 6 months

Question 22

Schizophreniform

- symptoms -

Answer 22

at least two symptoms in Criterion A for schizophrenia

Question 23

At least two symptoms in Criterion A lasting more than 1 month but less than 6 months

Answer 23

Schizophreniform disorder

Question 24

Schizophreniform

- specifiers -

Answer 24

first episode

multiple episodes

Question 25

Schizophreniform disorder | - differential dx -

Answer 25

Brief Psychotic D/O Delusional depressive Bipolar

Question 26

Schizophreniform | - interventions

Answer 26

Group therapy psychoeducation referral to psychiatrist identify coping skills

Question 27

Schizophrenia | - duration

Answer 27

greater than 6 months

Question 28

Schizophrenia | - symptoms

Answer 28

At least two symptoms in Criterion A for at least one month at least one symptom must be hallucinations, delusions, disorganized speech

Question 29

Schizophreniform | - specifiers

Answer 29

w/ good prognostic features -presence of at least two of the following - onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning - confusion or perplexity - good premorbid social and occupational functioning -absence of blunted or flat affect without good prognostic features

Question 30

Schizophrenia | - differential Dx

Answer 30

``` MDD Bipolar Schizoaffective Delusional BPD Schizotypal Personality Disorder PTSD Stimulant use ```

Question 31

Schizophrenia | - Interventions

Answer 31

``` Rehabilitation, clubhouse Social Skills Respite care for families Medication CBT Family-focused group Group therapy psychoeducation supported employment Behavior therapy Major Role therapy ```

Question 32

Schizoaffective D/O | - Interventions

Answer 32

``` Rehabilitation, clubhouse Social Skills Respite care for families Medication CBT Family-focused group Group therapy psychoeducation supported employment Behavior therapy Major Role therapy ```

Question 33

Schizoaffective disorder | - duration -

Answer 33

One month where major mood episode and Criterion A for schizophrenia Two weeks or more of delusions/hallucinations outside of mood disturbance

Question 34

Schizoaffective disorder | - symptoms

Answer 34

uninterrupted period of illness during which, at some time, there are concurrent symptoms of Schizophrenia and symptoms of a major depressive or manic episode with a period of at least two weeks without prominent mood symptoms.

Question 35

uninterrupted period of illness during which, at some time, there are concurrent symptoms of Schizophrenia and symptoms of a major depressive or manic episode with a period of at least two weeks without prominent mood symptoms.

Answer 35

Schizoaffective disorder

Question 36

Schizoaffective disorder | - specifiers

Answer 36

Bipolar type Depressive type

Question 37

Schizoaffective disorder | - differential Dx

Answer 37

Schizophrenia bipolar depressive disorders

Question 38

Major Depressive Episode

Answer 38

Five or more of the following symptoms present during same 2-week period - Depressed mood - Markedly diminished interest or pleasure in all or almost activities nearly every day - significant body weight loss or weight gain, decrease or increase in appetite - Insomnia or hypersomnia - Psychomotor agitation or retardation nearly every day - Fatigue or loss of energy nearly every day - Feelings of worthlessness or excessive or inappropriate guilt - Diminished ability to think or concentrate, or indecisiveness - recurrent thoughts of death, suicidal ideation without plan or suicide attempt